基于正念的术前干预对接受选择性手术的患者的影响:元分析
Kuang-Mou Tung1, Yunjhen Su2, Yi-No Kang3
1School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan; Taipei Medical University Hospital, Taipei Medical University, Taipei, Taiwan.
Journal of psychosomatic research
|April 24, 2024
概括
手术前的正念干预有效地减少了手术前的焦虑,并管理了手术后的疼痛. 这种方法有望在选择性手术过程中改善患者的幸福感.
科学领域:
- 医学研究 医学研究
- 心理干预 心理干预
- 外科手术患者的护理.
背景情况:
- 选择性手术患者经常经历疼痛和心理困扰.
- 基于正念的干预措施 (MBI) 被探索为减轻这些问题的策略.
- 评估MBI对手术患者结果的影响至关重要.
研究的目的:
- 评估手术前MBI对接受选择性手术的患者的疗效.
- 分析对手术前/手术后焦虑和抑郁症的影响.
- 评估对术后疼痛和生活质量 (QOL) 的影响.
主要方法:
- 从PubMed,Cochrane和Embase到2023年8月的随机对照试验 (RCT) 的元分析.
- 将MBI与通常待遇 (TAU) 的对照组进行比较.
- 标准化平均差异 (SMD) 用于患者报告的结果;按手术类型分组分析.
主要成果:
- 分析了8个涉及685名患者的RCT.
- 显著减少了手术前的焦虑 (SMD: -0.36) 和手术后的疼痛在多个时间点 (立即到28天).
- 在术后焦虑,抑郁或QOL方面没有观察到显著差异.
结论:
- 手术前的MBI在治疗选择性手术患者的手术前焦虑和术后疼痛方面是有效的.
- 需要对MBI的最佳时间和类型进行进一步的研究.
- 医疗手术仪表代表了增强外科患者护理的宝贵工具.
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